Detection of osteomyelitis in the neuropathic foot: nuclear medicine, MRI and conventional radiography.
The diagnostic efficacy of (1) combined three-phase bone scintigraphy and In-111 labeled WBC scintigraphy (Bone/WBC), (2) MRI, and (3) conventional radiography in detecting osteomyelitis of the neuropathic foot was compared. Conventional radiography was comparable to MRI for detection of osteomyelitis. MRI best depicted the presence of osteomyelitis in the forefoot. Particularly in the setting of Charcot joints, Bone/WBC was more specific than conventional radiography or MRI.
Lipman
B T
BT
Department of Radiology, Medical College of Wisconsin, Milwaukee, USA.
Collier
B D
BD
Carrera
G F
GF
Timins
M E
ME
Erickson
S J
SJ
Johnson
J E
JE
Mitchell
J R
JR
Hoffmann
R G
RG
Finger
W A
WA
Krasnow
A Z
AZ
Hellman
R S
RS
D000328:Adult; D000368:Aged; D001177:Arthropathy, Neurogenic / Q000150:complications*; D017719:Diabetic Foot / Q000150:complications; D003929:Diabetic Neuropathies / Q000150:complications*; D005260:Female; D005528:Foot / Q000000981:diagnostic imaging / Q000473:pathology; D005534:Foot Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D007205:Indium Radioisotopes; D007962:Leukocytes; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D012372:ROC Curve; D011859:Radiography; D011877:Radionuclide Imaging; D012680:Sensitivity and Specificity
D007205:Indium Radioisotopes